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Long COVID: How GP assessments and investigative pathology tests can help

Do you have ongoing or new symptoms 12+ weeks after having the COVID-19 virus, with these symptoms having persisted for two or more months? If so, you may have long COVID. Much is still unknown about the effects of the novel coronavirus on our health, but a visit to your GP and investigative pathology tests are the first steps in managing your ongoing symptoms and getting back to better health.

If you suspect that you or someone you know has long COVID, read the below article and share it with family and friends. This important content provides comprehensive information on the varied and unexpected symptoms that may indicate post COVID-19 condition (long COVID).

What is long COVID?

Most people infected with COVID-19 fully recover within a few weeks, however, a NSW-based study of 3,000 COVID patients showed 5% continued to experience symptoms beyond 12 weeks.The World Health Organisation (WHO) defines “long COVID”, or post COVID-19 condition, as a group of symptoms that extend beyond 12 weeks from COVID infection and are present for at least 2 months.Examples of these potentially overlapping and intermittent symptoms that impact on everyday functioning include fatigue, shortness of breath, and cognitive dysfunction.



Common symptoms of long COVID

If you are still experiencing any of these commonly reported symptoms 12+ weeks post-COVID infection, it is important to see your GP for assessment, investigative testing, and ongoing care.3

  • Breathlessness
  • Cough
  • Cardiovascular symptoms i.e. chest tightness, chest pain, palpitations
  • Tinnitus
  • Earache
  • Sore throat
  • Dizziness
  • Loss of taste and/or smell
  • Nasal congestion


  • Fatigue
  • Fever
  • Pain
  • Cognitive impairment (‘brain fog’, loss of concentration or memory issues)
  • Headache
  • Sleep disturbance
  • Pins and needles and numbness
  • Dizziness
  • Delirium (in older populations)
  • Mobility impairment
  • Visual disturbance
  • Symptoms of depression
  • Symptoms of anxiety
  • Symptoms of post-traumatic stress disorder

  • Abdominal pain
  • Nausea
  • Diarrhoea
  • Weight loss and reduced appetite


  • Joint pain
  • Muscle pain
  • Skin rashes
  • Hair loss

How can I get help if I think I have long COVID?

Booking an appointment with your regular GP is the best place to start if you suspect you have symptoms consistent with long COVID. Clinical assessment of patients presenting with symptoms suggestive of long COVID can be challenging, as symptoms can be varied and overlapping. To help in their assessment, your GP will order a series of pathology tests for you, including baseline investigations such as full blood count, kidney and liver function tests, iron studies and thyroid function tests. If you present with respiratory and cardiovascular symptoms, your doctor may order additional tests such as troponin and Holter monitoring. These targeted pathology investigations are essential in supporting your doctor’s assessment if you present with symptoms indicative of long COVID.

Where can I have my pathology tests?

After seeing your doctor, you can visit any Clinical Labs collection centre with your pathology request form.
To find your nearest Clinical Labs collection centre, visit clinicallabs.com.au/location.

 

References
1. Liu B, Jayasundara D, Pye V, Dobbins T, Dore GJ, Matthews G, et al. Whole of population-based cohort study of recovery time from COVID-19 in New South Wales Australia.(2666-6065 (Electronic)).
2. WHO. A clinical case definition of post COVID-19 condition by a Delphi consensus, 6 October 2021 2021 [Available from: https://www.who.int/publications/i/item/WHO-2019-nCoV-Post_COVID-19_condition-Clinical_case_definition-2021.1.
3. Shah W, Hillman T, Playford ED, Hishmeh L. Managing the long term effects of covid-19: summary of NICE, SIGN, and RCGP rapid guideline. BMJ. 2021;372:n136.

COVID-19 AND URINARY SYMPTOMS IN THE ELDERLY

The COVID-19 virus has the potential to impact on various body systems, including the urinary tract. 
Recent studies suggest that elderly patients with COVID-19 may experience urinary symptoms,
such as urinary incontinence, urgency, frequency, and hematuria.

Due to the severity of the COVID-19 virus, if you or a loved one fit this demographic, are experiencing 
urinary symptoms, and are at risk or have been exposed to the virus, it may be a good idea to be tested for
COVID-19 while seeking management for the urinary symptoms. 


References
1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7995211/
2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9233460/
3. https://www.nature.com/articles/s41585-022-00586-1